Organization Active NPI

Mohammad T Javed MD.PA

  • Legal Medicine
  • Royal Palm Beach, FL
National Provider Identifier
1003030537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ARNP1753442 Issued in FL
Legal business name
MOHAMMAD T JAVED MD.PA
Practice address
11476 Okeechobee Blvd
Royal Palm Beach, FL 33411-8715
Phone
(561) 204-5111
Fax
(561) 204-5150
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Janet W Radford, ARNP
Title
Nurse Practitioner
Phone
(561) 204-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X ARNP1753442 FL Primary

Addresses

Primary practice location

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411-8715

Mailing address

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411-8715
Phone (561) 204-5111

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mohammad T Javed MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003030537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118715",
            "telephone_number": "561-204-5111",
            "fax_number": "561-204-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118715",
            "telephone_number": "561-204-5111",
            "fax_number": "561-204-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD T JAVED MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NURSE  PRACTITIONER",
        "authorized_official_telephone_number": "561-204-5111",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ARNP1753442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.